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The CPT® Code 80361 refers to a laboratory test specifically designed to measure the presence of opiates in various biological samples, including meconium stool, urine, serum, or plasma. Opiates are defined as naturally occurring opioid alkaloids that are derived from the resin of the opium poppy plant, scientifically known as Papaver somniferum. This category of substances includes well-known compounds such as morphine, codeine, and thebaine. In certain instances, naturally occurring derivatives like hydromorphone and hydrocodone may also be detected, although this is relatively rare. Additionally, trace amounts of other substances such as dihydrocodeine, oxymorphone, oxycodone, and metopon may occasionally be identified. It is important to note that the semi-synthetic versions of these compounds are typically classified as opioids or opiate analogs. Opiates are primarily utilized in clinical settings as narcotic analgesics to manage moderate to severe pain. They function as central nervous system depressants and have the capacity to influence brain regions associated with pleasure, thereby inducing a euphoric state alongside pain relief. Due to their psychoactive properties, these substances are sometimes misused for recreational purposes. The collection of samples for this test involves obtaining a blood sample through a procedure known as venipuncture, which is reported separately. Urine samples can be collected via random voiding or catheterization, while meconium stool is gathered from a diaper. To ensure accuracy, all samples are confirmed through a sophisticated analytical technique known as quantitative liquid chromatography-tandem mass spectrometry.
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The CPT® Code 80361 is indicated for use in various clinical scenarios where the measurement of opiates is necessary. The following conditions or situations may warrant this laboratory test:
The procedure for conducting the test associated with CPT® Code 80361 involves several key steps to ensure accurate measurement of opiates in the collected samples. The following procedural steps are outlined:
Post-procedure care for patients undergoing testing with CPT® Code 80361 is generally minimal, as the sample collection methods are non-invasive and typically do not require extensive recovery. However, it is important to monitor the patient for any immediate adverse reactions, particularly following venipuncture, where minor bruising or discomfort at the puncture site may occur. Patients should be advised to hydrate adequately after urine collection to facilitate further testing if necessary. The results of the opiate testing will be communicated to the healthcare provider, who will interpret the findings in the context of the patient's clinical situation. Follow-up actions may include additional testing, counseling, or adjustments to treatment plans based on the results obtained.
| Short Descr | OPIATES 1 OR MORE | Medium Descr | DRUG SCREENING OPIATES 1 OR MORE | Long Descr | Opiates, 1 or more | Status Code | Not Valid for Medicare Purposes | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Code Not Recognized by OPPS when submitted on Outpatient Hospital Part B Bill Type (12x/13x) | Type of Service (TOS) | 5 - Diagnostic Laboratory | Berenson-Eggers TOS (BETOS) | T2D - Other tests - other | MUE | 1 |
| GZ | Item or service expected to be denied as not reasonable and necessary | 90 | Reference (outside) laboratory: when laboratory procedures are performed by a party other than the treating or reporting physician or other qualified health care professional, the procedure may be identified by adding modifier 90 to the usual procedure number. | 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | GW | Service not related to the hospice patient's terminal condition |
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| 2015-01-01 | Added | Added |
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